Breast Paget disease
Breast Paget disease
Updated:02/24/2020
© Jun Wang, MD, PhD
General features
- Arises in or involves the main excretory ducts
- Associated with underlying malignancy, unlike extramammary Paget disease
Clinical presentations
- Eczema like lesion involving nipple/areola
Key morphological features
Differential diagnosis
- Melanoma: Positive for S-100, HMB45, negative for cytokeratin
- Paget disease: Negative for S-100 and HMB45, positive for cytokeratin (CAM5.2, CK7)
Treatment
- Nipple removal as part of treatment of underlying malignancy
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